Congenital Reproductive Abnormalities

Abstract

Congenital defects of the reproductive system are associated with a number of adverse health consequences. The pathophysiology of these defects is thought to be müllerian abnormalities, but they can also be attributed to failure of cells to degenerate appropriately during embryogenesis. The management of these congenital defects is dependent on the type of defect present and the severity of presentation. Women with congenital defects of the reproductive system have physical as well as psychosocial issues that must be addressed, and the condition frequently creates medical challenges for health care providers.

Vaginal Obstruction after Excision of a Transverse Vaginal Septum: A Rare Case Report

“…If they did succeed, 50% of pregnancies ended in spontaneous abortions. Dyspareunia, menstrual irregularities, fertility complications, and preterm labor are not uncommon [12].…”

Management of Recurrent Stricture Formation after Transverse Vaginal Septum Excision

“…Treatment of a TVS depends on the patient. Vaginal dilators are the preferred nonsurgical choice for patients with small septa [ 5 ]. Dilation techniques may be used in lieu of surgery, before surgery in order to improve outcomes, and after surgery to prevent strictures, scarring, or stenosis of the surgical site [ 5 ].…”

“…The etiology of vaginal septa is unknown but may be multifactorial in origin, due to exposure to agents in utero, or associated with autosomal recessive inheritance [ 3 ]. Renal, musculoskeletal, and cardiac anomalies are rarely seen with transverse vaginal septa [ 1 , 4 , 5 ]. However, in one series, 20% of women with vaginal septa were diagnosed with renal defects [ 5 ].…”

“…Renal, musculoskeletal, and cardiac anomalies are rarely seen with transverse vaginal septa [ 1 , 4 , 5 ]. However, in one series, 20% of women with vaginal septa were diagnosed with renal defects [ 5 ].…”

Imperforate Hymen as Cause of Acute Urinary Retention

“…Usually before birth, the epithelial cells of the central area of the hymenial membrane start the process of degeneration, with a thin border of the membrane consisting of fibrous connective tissue persisting around the vaginal opening [1]. An incomplete degeneration process can cause hymenial anomalies such as: imperforate, microperforated, cribiform or septate hymen.…”